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NPI Code Detail

MEDICARE: DR. ALAN PAUL SALOMON D.D.S.

MEDICARE:  DR. ALAN PAUL SALOMON  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS2418TN

General Provider Information

NPI Number : 1619970605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN PAUL SALOMON D.D.S.
Provider Business Mailing Address
First Line : 5575 POPLAR AVE
Second Line : STE 121
City : MEMPHIS
State : TN
Zip : 38119-3824
Country : US
Telephone Number : 901-683-5293
Fax Number : 901-683-9370
Provider Business Practice Location Address
First Line : 5575 POPLAR AVE
Second Line : STE 121
City : MEMPHIS
State : TN
Zip : 38119-3824
Country : US
Telephone Number : 901-683-5293
Fax Number : 901-683-9370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ALAN PAUL SALOMON D.D.S.” Practice Location

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